Pediatric rheumatology

Development of the paediatric society of the African league against rheumatism (PAFLAR) Juvenile Idiopathic Arthritis (JIA) registry and clinical profile of JIA in Africa from the PAFLAR JIA registry

Pediatr Rheumatol Online JPublished Retrospective cohort study

Authors' conclusion

Our study highlights strategies involved in setting up a Pan-African paediatric rheumatology registry that embraces our broad diversity and the vast spectrum of JIA in Africa while comparing the various therapies available to our patients.

Study context

Population
Children with JIA under the care of PAFLAR collaborators across various regions in Africa177 female
Participants
302 children
Outcome
Clinical profile of JIA in Africa
Follow-up
Initial diagnosis
Methodological detailsobservational, registry-based, descriptive, Collaborators trained to enter data in the existing PAFLAR REDCAP database
  • Observational
  • Registry-based
  • Descriptive
  • Collaborators trained to enter data in the existing PAFLAR REDCAP database

Main finding

As reported in the abstract

Female
58.6% (177 of 302)
Age at disease onset, median (range 3-11 years)
7 years
Age at diagnosis, median (range 5-12 years)
8.5 years
Delay in diagnosis, median (range 1-20.8 months)
6 months
sJIA
18.9% (57)
Oligoarticular JIA
19.2% (83)
Polyarticular RF + ve
5% (15)
Polyarticular RF-ve
17.9% (54)
Enthesitis related arthritis (ERA)
18.2% (55)
Psoriatic arthritis
7% (21)
Undifferentiated JIA
5.6% (17)
Therapy at diagnosis: NSAID
31.1%
Therapy at diagnosis: synthetic DMARDs
18.1%
Therapy at diagnosis: synthetic DMARDs + NSAIDs
17.5%
Therapy at diagnosis: steroids
9.6%
Therapy at diagnosis: bDMARDs
2.3%
JADAS score, average (range 4.8-18.2)
10.3
CHAQ score, average (range 0.7-2.0)
1.3

Observational data: associations, not effects.

Original publication

Development of the paediatric society of the African league against rheumatism (PAFLAR) JIA registry and clinical profile of JIA in Africa from the PAFLAR JIA registry. Pediatr Rheumatol Online J. Published 22 July 2024. doi:10.1186/s12969-024-01000-3

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